I: Gram Negative Bacilli Flashcards
Enterobacteriaceae are
CPON NO GF FA
Catalase Positive
Oxidase Negative
Nitrate Reduction Positive
Glucose Fermentation
Facultative Anaerobe
Enterobacteriaceae are MOTILE; EXCEPT FOR (2)
Klebsiella and Shigella
Type of Flagella present in Enterobacteriaceae
Peritrichous Flagella
Listeria and Y. Enterocolitica are motile in ___ and NON-MOTILE IN ________
Motile in ROOM TEMPERATURE
Non Motile 37 Deg Celsius
Enterobacteriaceae are Catalase (+) EXCEPT
Shigella ; S.dysenteriae
Enterobacteriaceae can reduce Nitrate to Nitrite EXCEPT
Erwinia
Pantonea agglomerans
Antigenic Structure:
Heat-LABILE
Capsular Antigen
Carrier
K Antigen
Antigenic Structure:
Salmonellae have capsular (K) antigen known as
Vi antigen
Antigenic Structure:
Somatic Antigen
Cell wall
Heat-STABLE
O antigen
Antigen Structure:
Flagella
denatured by Alcohol/heat
agglutinate with anti-H antibodies
H Antigens
O antigen, antibodies are predominantly
IgM (Acute/Active Infection)
H antigens, antibodies are predominantly
IgG (past infection)
Rapid Lactose Fermenters
EKE
Escherichia
Klebsiella
Enterobacter
Late Lactose Fermenters
Cit Ser Yer Haf Sa Shir is late
Citrobacter
Serratia
Yersinia enterocolitica
Hafnia
Salmonella arizonae
Shigella sonnei
Non-Lactose Fermenters
Sobrang Sarap PEPE Mo
Shigella
Salmonella
Proteus
Edwardsiella
Providencia
Erwinia
MOrganella
Rapid Lactose Fermenters that causes
UTI - 90%
Sepsis
Meningitis - Infants
Diarrheal Disease
Escherichia
Rapid Lactose Fermenters
Most common cause of UTI in humans
UPEC
Uropathogenic E.coli
Rapid Lactose Fermenters
UPEC virulence factors (3)
Pili
Cytolysins
Aerobactin
Rapid Lactose Fermenters
UPEC: VF that is responsible for adherence to epithelial cells
Pili
Rapid Lactose Fermenters
UPEC: VF that is responsible for inhibiting IMMUNE EFFECTOR CELLS
Cytolysin
Rapid Lactose Fermenters
UPEC: VF that is responsible for chelating iron
Aerobactin
Rapid Lactose Fermenters
Escherichia that Produces HEAT LABILE/HEAT STABLE TOXINS that resides in Plasmid
ETEC
Enterotoxigenic E.coli
Rapid Lactose Fermenters
ETEC:
toxin that similarly related with CHOLERA TOXIN
Labile Toxin
Rapid Lactose Fermenters
ETEC:
toxin that result to intestinal fluid secretion by stimulating GUANYLATE CYCLASE
Stable Toxin
Rapid Lactose Fermenters
Type of E.coli that causes:
Montezuma’s Revenge
Traveler’s diarrhea
Childhood diarrhea
Enterotoxigenic E.coli (ETEC)
Rapid Lactose Fermenters
Type of E.coli Invades Intestinal Epithelium causing SHIGELLA-LIKE INFECTION
EIEC
EnteroInvasive E.coli
Rapid Lactose Fermenters
Causes Dysentery in young Children living in areas with of POOR SANITATION
EIEC
EnteroInvasive E.coli
Rapid Lactose Fermenters
EIEC is characterized with Explosive stool; due to acid ______ with the presence of _____ CFU/mL
- Acid SENSITIVITY
- 100,000 CFU/mL
Rapid Lactose Fermenters
E.coli characterized with stool with RBC, NEUTROPHILS and mucus
EIEC
EnteroInvasive E.coli
Rapid Lactose Fermenters
Type of E.coli:
- Non-invasive
- No toxin
- Nosocomial (Newborn and Infants)
EPEC
Enteropathogenic E.coli
Rapid Lactose Fermenters
Type of E.coli:
- Characterized with Watery diarrhea with mucus but W/O BLOOD
EPEC
Enteropathogenic E.coli
Rapid Lactose Fermenters
Type of E.coli that produces Verotoxin, toxin that resembles S. DYSENTERIAE
EHEC/VTEC
Enterohemorrhagic E.coli
Verotoxic E.coli
It has a cytotoxic effect on the Vero cells of the kidney of African green monkey
Verotoxin
Most Severe manifestation of EHEC/VTEC
HUS
Hemorrhagic Uremic Syndrome
E.coli Most frequently associated with E.coli O157:H7
EHEC/VTEC
Only strains that is NEGATIVE on SMAC (Sorbitol Macconkey Agar)
Colorless
E.coli O157:H7
Rapid Lactose Fermenters
E.coli that involves:
Binding Pili
Stable toxin like
Hemolysin like
Causes: Watery diarhea
EAEC
Enteroaggregative E.coli
Rapid Lactose Fermenters
Exhibit mucoid growth; Large Polysaccharide capsule
Klebsiella
Rapid Lactose Fermenters
Klebsiella spp;
- Friedlander’s bacillus
- Encapsulated
- Mucoid colonies
K. pneumoniae
Rapid Lactose Fermenter
Klebsiella spp.
- purulent sinus infection
K. Ozaenae
Rapid Lactose Fermenter
Klebsiella spp.
- granuloma in nose and nasophranyx
K. rhinoscleromatis
Rapid Lactose Fermenter
Klebsiella spp. is associated with ESBL (Extended Spectrum Beta-Lactamase)
T/F
True
Rapid Lactose Ferments
Associated with Opportunistic infections: UTI, RT, Wound infections
Enterobacter
Rapid Lactose Fermenter
Enterobacter: Most predominant Isolate
E. cloacae
Rapid Lactose Fermenter
Enterobacter that produces yellow pigmentation that intensifies at 25 deg C.
E. sakazakii
( now: Chromobacter sakazakii )
LOA
+ - -
K. pneumoniae
K. oxytocoa
S. typhi
LOA
+ + -
E. Aerogenes
LOA
Neg Pos Pos
E. cLoacae
LOA
- - -
P. agglomerans
Outbreak of septicemia resulting from CONTAMINATED INTRAVENOUS FLUID
Pantoea agglomerans
Pantoea agglomerans serotype that produces yellow pigment; PRIMARILY A PLANT PATHOGEN
Pantoea agglomerans HG XII
Triple Decarboxylase Negative
E. agglomerans
Triple Enzyme (+)
- DNAse
- Lipase
- Gelatinase
Serratia
Serratia is ONPG (+) EXCEPT:
S. fonticola
Serratia spp.
S. marcescens, S. rubidaea, S.plymuthica produces pink-red pigment due to _____ when incubated at Room Temperature
PROGIOSIN
- Mostly significant Serratia
- Infection of Urinary and Respiratory
- Bacteremic outbreaks
- Septic arthritis
S. marcescens
Serratia associated with OSTEOMYELITIS found following motorcycle accident
S. plymuthica
Serratia emits dirty, musty odor like that of potatoes
S. odorifera
Tribe Salmonellae
Salmonellae
Citrobacter
Arizonae
Organisms resemble Salmonella but ONPG positive and LDC negative
Citrobacter
- Citrobacter associated with Endocarditis in Intravenous drug abusers
- 80% produces Hydrogen Sulfide
- 50% fail to ferment lactose
Citrobacter freundii
Salmonella and Citrobacter are differentiated through (2)
- Urea Hydrolysis
- Lysine Decarboxylase
Salmonella VS Citrobacter
Urea Hydrolysis (+)
Lysine Decarboxylase (-)
KCN Agar (+)
C. freundii
Salmonella VS Citrobacter
Urea Hydrolysis (-)
Lysine Decarboxylase (+)
KCN Agar (-)
Salmonella
Citrobacter causes nursery outbreaks of neonatal miningitis and brain abcess
C. koseri
Sources of infection:
Water, Milk, Dairy products, shellfish, dried or frozen eggs, meat, household pets
Salmonella
Bacteria that is acquired from water, dairy products, meats;
- causes Enteritis, Systemic infection, Enteric Fever
Salmonella
Salmonella
Serogroup A
S. paratyphi A
Salmonella
Serogroup B
S. paratyphi B
Salmonella
Serogroup C
S. cholerasuis
Salmonella
Serogroup D
S. enterica serotype Typhi
Salmonella that causes bacteremia
S. cholerasuis
Most common manifestation of salmonella infection
Enterocolitis/Gastroenteritis
Salmonella spp that causes Enterocolitis/Gastroenteritis
S. typhimurium
Milk borne disease of Cow
S. typhi
Milk borne disease of man
M. bovis
Non-motile Salmonella spp.
S. pullorum
S. gallinarum
Tube dilution agglutination test for SALMONELLA
Widal’s Test
Widal’s Test
Specimen:
Interval:
Specimen: 2 serum
Interval: 7-10 days
Widal’s Test
High or Rising Titer of
O > 1:160
Acute/Active Infection
Widal’s Test
High or Rising Titer of
H > 1:160
Past Infection/Immunization
Widal’s Test
Highest titer of Vi antigen
Carriers
A state by which the individual recovers from infection but harbors the organisms in GALLBLADDER (chronic carriage)
Carrier State
The carrier state may be terminated by
Antimicrobial Therapy
Widal’s Test (Carrier State Specimen)
1st Week
2nd Week
3rd Week
1st Week - Blood
2nd Week - Urine/Stool
3rd Week - Serum
Gold Standard Specimen for Widal’s Test
Bone marrow aspirate
Biochemically inert, natural habitat is limited to intestinal tracts of Humans.
Produces BACILLARY DYSENTERY
Shigella
Shigella
Stool with blood, mucus, pus
dysentery
Shigella
Seizures, HUS, associated with S. dysenteriae
Shigellosis
SHIGELLA SPP
Si Sonnei BC mag FB kaya na DA
Catalase (-)
ONPG (+)/late
Mannitol (-)
Sonnei - Group type D
Boydii - Group Type C
Flexneri - Group Type B
Dysenteriae - Group type A
Catalase (-) - Dysenteriae
ONPG (+)/late - Sonnei
Mannitol (-) - Dysenteriae
Produce infections when they leave intestinal tract;
UTI, Bacteremia, pneumonia, nosocomial Infections
Proteus
Proteus that exhibits swarming motility
P. mirabilis
P. vulgaris
Part of PPM tribe that is associated with Satghorn stones, Struvite, Ammonium Mg Phosphate/ Renal Stone
Proteus
OX-2
OX-19
are strains from
P. vulgaris
OX-K are strains from
P. mirabilis
Proteus
Acquired A phenomenon
P. mirabilis
Proteus
Acquired B phenomenon
P. Vulgaris, E.coli 086
Proteus
OX-K
Kingsburg
Swarming non-hemolytic
Proteus
swarming beta-hemoyltic
Clostridium septicum